Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
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Gastric Adenocarcinoma of Fundic-gland Type Diagnosed and Treated by Endoscopic Mucosal Resection

내시경 점막 절제술로 진단 및 치료했던 위바닥샘형 선암

  • Sung Eun Kim (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Seun Ja Park (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Moo In Park (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Won Moon (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Jae Hyun Kim (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Kyoungwon Jung (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Bang Ju Kim (Department of Internal Medicine, Kosin University College of Medicine) ;
  • Hee Kyung Chang (Department of Pathology, Kosin University College of Medicine)
  • 김성은 (고신대학교 의과대학 내과학교실) ;
  • 박선자 (고신대학교 의과대학 내과학교실) ;
  • 박무인 (고신대학교 의과대학 내과학교실) ;
  • 문원 (고신대학교 의과대학 내과학교실) ;
  • 김재현 (고신대학교 의과대학 내과학교실) ;
  • 정경원 (고신대학교 의과대학 내과학교실) ;
  • 김방주 (고신대학교 의과대학 내과학교실) ;
  • 장희경 (고신대학교 의과대학 병리학교실)
  • Received : 2023.11.01
  • Accepted : 2023.12.01
  • Published : 2023.12.20
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Abstract

Gastric cancer is histologically classified into two types. One is the intestinal and diffuse type according to Lauren's classification, and the other is the differentiated and undifferentiated type based on Nakamura's classification. In 2007, Japanese groups proposed a new type of well-differentiated gastric adenocarcinoma in the gastric fundic glands with distinct endoscopic and clinicopathologic features. This is gastric adenocarcinoma of the fundic-gland type (GA-FG), a rare variant of gastric cancer. In a 2012 Korean study, of 6,000 cases of gastric cancer tissues, only three cases of GA-FG were identified. GA-FG is usually located in the upper third of the stomach and not known to be associated with the Helicobacter pylori infection. We herein report a case of GA-FG diagnosed in a 63-year-old man. A gastric polyp was incidentally detected during an upper endoscopy screening while conducting a health check-up, and he was diagnosed with GA-FG after an endoscopic mucosal resection (EMR) was conducted for diagnostic and therapeutic purposes. Our case suggests that for both diagnostic and therapeutic purposes, EMR may be beneficial in case of gastric polyps with suspected GA-FG.

Keywords

References

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